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Maternal cardiovascular function and risk of intrapartum fetal compromise in women undergoing induction of labor: A pilot study

Ultrasound in Obstetrics & Gynecology Dec 04, 2019

Kalafat E, et al. - In this prospective cohort study, researchers tested the predictive reliability of maternal hemodynamics for the risk of operative delivery due to presumed fetal compromise among women undergoing induction of labour (IOL). Between November 2018 and January 2019, patients were recruited. Invited to participate in the study were women undergoing IOL. In total, 99 women were selected and four women were later excluded from the analysis due to semi-elective cesarean section (n = 2) and failed IOL (n = 2). Data reported that the operative delivery rate due to presumed fetal compromise was 28.4%. In women undergoing IOL, the prelabour maternal cardiovascular assessment could be useful for evaluating the risk of intrapartum fetal compromise necessitating operative delivery. The addition of SV, systemic vascular resistance (SVR), and SVR index significantly enhanced the baseline antenatal model's predictive accuracy.
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